Kairos Financial Application
Retreat Directors:
James Holzhauer-Chuckas, ObSB
Daniela Menichella
KAIROS@ucym.org | 847-864-1185 x26
Email address *
Participant First & Last Name *
Your answer
The retreat costs $300
Do you need a FINANCIAL ASSISTANCE or a PAYMENT PLAN? *
FOR FINANCIAL ASSISTANCE
Scroll below if you checked "Payment plan"
How much financial assistance are you requesting? *
Your answer
FOR PAYMENT PLAN
If you cannot pay the full retreat fee at one time, that is fine, but please list below when you will make your installments within 3 dates BEFORE THE RETREAT. *
Required
Thank You!
Submit
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